Parastomal Hernia Repair Surgery
A surgical procedure to treat the parastomal hernia.
Understanding Parastomal Hernia Repair Surgery
Parastomal hernia repair surgery is an optimal surgical approach for repairing a parastomal hernia. This surgery is determined by the patient’s history, the characteristics of the hernia, and whether or not the patient has a midline incisional hernia. If surgery is required, treatment options include Open, Robotic or Laparoscopic (keyhole) surgery to repair and heal the tissue around the hernia.A parastomal hernia happens when the abdominal muscle weakens, causing a bulge or tear. This allows the inner lining of the abdomen to push through the weak spot, creating a small sac. Intestine or abdominal tissue can then bulge into this sac, leading to severe pain and potentially serious problems that may require emergency surgery.
Parastomal Hernia Repair Surgery Treats:
Parastomal hernias
Persistent abdominal bulges
Recurrent parastomal hernias
Pain and discomfort from hernias
Chronic infection-related herniasHow Does the Parastomal Hernia Repair Technique Work?
If you have a parastomal hernia, surgery is often necessary. There are three main surgical approaches: open, robotic, and laparoscopic.
Open:
The open approach involves an incision through the previous scar, going through the skin and fat to reach the hernia. If the hernia is small, it might be closed with stitches. However, most parastomal hernias are more complex and require a more intricate repair with mesh reinforcement. This procedure requires general anaesthesia. Your surgeon will choose the best mesh material (absorbable or permanent) based on your specific case and whether there’s any contamination.
Laparoscopic:
The laparoscopic approach uses several small incisions away from the stoma site. A mesh is inserted through one of the incisions and secured with sutures and surgical tacks.
Robotic:
Robotic surgery doesn’t involve making big cuts. Instead of standing over the patient, the surgeon sits at a computer and uses robotic tools to do the surgery. For fixing parastomal hernias, robotic surgery has some benefits, such as avoiding the use of techniques that involve making holes, making it easier to stitch up the hernia hole, helping to put in a mesh without going into the belly, and using advanced methods to separate the different parts of the belly.
In addition to these three techniques, the parastomal hernia repair sugarbaker technique is also performed. In this technique, the hernia is fixed, and then the bowel is moved to the side and covered with a mesh that overlaps by 5 cm.
Benefits of Parastomal Hernia Repair
Pain Relief
Significantly reduces discomfort and pain associated with the hernia, improving daily comfort.
Improved Quality of Life
Helps patients get back to their normal activities and enjoy a more active, pain-free life.
Lower Recurrence Rate
Advanced surgical methods ensure a lower hernia recurrence rate, providing patients with long-term results. .
Reduced Risk of Infection
Advanced surgical methods minimise the risk of infection, promoting a safer recovery process.
Enhanced Digestive Function
Repairing the hernia can improve bowel function, reducing symptoms like constipation, diarrhoea, or obstruction.
Faster Healing
Minimally invasive techniques like laparoscopic and robotic repairs promote quicker recovery.
Treatment at a glance
Purpose
Procedure Duration
Anaesthesia
Purpose
Treat the parastomal hernia
Pain Level
Moderate to mild
Procedure Duration
30 minutes - 5 hours
Recovery Time
4 to 6 Weeks
Drive
4 to 6 Weeks
Anaesthesia
General
Recovery Time
Pain Level
Drive
Cost of Parastomal Hernia Repair
Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!
Why Choose Leicester Bowel Clinic?
01. Expertise You Can Trust: Our surgeons are leaders in their fields, bringing years of experience and cutting-edge techniques to ensure the best outcomes for our patients.
02. Personalised Care: We take the time to understand your needs and offer a treatment plan that prioritises your health and well-being.
03. Confidential Environment: Your privacy is our priority. From consultation to recovery, we maintain strict confidentiality and provide a secure, comforting environment.
04. We offer medical and surgical therapies both in clinics under local anaesthesia and in theatres under general anaesthesia.
Patient Testimonials
Mr Chaudhri is an excellent surgeon I can’t thank him enough for the operations he performed on me after i was diagnosed with bowel cancer, the care he showed me before and after the operations, his friendly nature and reassurance was a great help to me during a stressful time in my life i owe so much to him and i will always be grateful to him and his colleagues .
Written by an NHS patient
I’ve been under Mr Chaudhri’s care for around 2 years now and he has always shown me the best, personal care I could ask for.
Written by an NHS patient
This doctor spoke to you and made jokes to make you feel at ease. He was also clearly very knowledgable, and his words/advice were comforting and I left feeling uplifted. With regards to the procedure itself, he wasn’t aggressive but nor was he too slow where you had time to consider the slight discomfort; the pace and strength were fine and made for a quick and easy colonoscopy.
Written by an NHS patient
Our Locations
Leicester Bowel Clinic at Spire Hospital
- Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
- To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685
*Free on-site parking is available.
The Health Suite
- CLINICS The Health Suite Thursday evenings (Mr Chaudhri) from 6:00pm until 8:00pm at:The Health Suite, 624a Uppingham Rd, Leicester LE7 9QB
- To arrange an appointment directly with The Health Suit, please call the booking line on 0116 241010
*Free on-site parking is available.
Leicester Bowel Clinic at Nuffield Health Leicester Hospital
- 1st and 3rd Friday of the month (Mr Chaudhri) from 5:30 pm until 8:00 pm at: Nuffield Health Leicester Hospital, Scraptoft Ln, Leicester LE5 1HY
- To arrange an appointment directly with The Nuffield Hospital, please call the booking line on 0300 1311416
*Free on-site parking is available.
Frequently Asked Questions
01. Which type of surgery is safer, open surgery or laparoscopy?
Laparoscopic surgery is less invasive and has a lower risk of infection and other problems compared to open surgery. Patients with laparoscopic surgery can get back to their normal activities faster and spend less time in the hospital.
02. Which type of hernia surgery is the safest?
Robotic or laparoscopic hernia repair has several benefits, including a lower risk of infection, less pain after the surgery, and a quicker recovery, allowing to return to work or normal activities. These advantages are even greater for patients with hernias or recurring inguinal hernias on both sides of their abdomen.
03. Is laparoscopy a high-risk procedure?
Even though patients may think of laparoscopic surgery as minor, it is a major surgery that carries the potential for serious complications such as injury to internal organs, bleeding, or damage to the bowel or bladder.
04. Which type of hernia is more serious?
Inguinal hernias are considered dangerous because they tend to grow larger and can trap the intestine, cutting off its blood supply. This is known as a strangulated inguinal hernia, and it may require surgery to fix the issue.
05. Can I walk after laparoscopic surgery?
During the procedure, a conical plug is inserted into the tract and sutured into place. The outer opening is not fully closed, so the fistula can keep draining.
06. What are the major parastomal hernia repair complications?
After fixing a parastomal hernia, the surgery includes some common complications. Some of them include:
- Bleeding and infection: These are not very common.
- Bowel injury: There is a small risk of injury to the intestines during surgery.
- Difficulty urinating: It’s not unusual and might need a temporary urinary bladder tube.
- Hernia recurrence: The hernia can return, or a new one can happen nearby.
- Pain and discomfort: The hernia can cause pain and discomfort.
- Ostomy appliance leakage: The hernia can cause leakage of the ostomy appliance.
- Skin irritation: The hernia can cause skin irritation.
07. Will I bleed after a laparoscopy surgery?
Yes, you might experience some vaginal bleeding for about a week after the surgery, but don’t worry, it’s completely normal. You’ll also get some pain medications to help you feel better. If the medicines aren’t working, consult with your doctor. One more thing to remember: the pain medications might make it a bit harder to go to the bathroom, so be sure to stay hydrated and take care of yourself.
